Great North Run 2025 - Own Place participant
1. Personal details
Great North Run 2025 - Own place declaration
I have gained my own place through the official ballot scheme and would like to take part on behalf of Meningitis Now
Title
Please select...
Mr
Mrs
Miss
Ms
Mx
First Name
Last Name
Phone
Whichever is your preferred number
Email
Date of birth
Must be 18 or over on date of event
Street Address
Town or City
Postcode
In the event of an emergency please contact (Please note this cannot be another participant in the race):
Name
Relationship to you
Please select...
Husband
Wife
Partner
Mother
Father
Daughter
Son
Sister
Brother
Guardian
Other family member
Friend
Nephew
Niece
Uncle
Aunt
Grandparent
Contact number
Your meningitis experience
Please select...
Personal experience
Family experience
Friend/Colleague experience
Nursery experience
Pupil/Student experience
Employee experience
Professional experience
No experience
Other
Other meningitis experience details
How did you hear about this event?
Please select...
Leaflet
Email
Facebook
Other website
Meningitis Now website
Previous participant
Friend/family
Other
If other please state
2. Running Top Details
Please select the size of your running vest
Please select...
Small
Medium
Large
X-Large
What name would you like on your vest?
Maximum 10 characters
Running Vest Sizing Chart
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